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PolicyPaper P2024T101011052110

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YAHYA ISSA
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0% found this document useful (0 votes)
24 views1 page

PolicyPaper P2024T101011052110

Uploaded by

YAHYA ISSA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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‫ﺗﻘــــﺭ ﺷﺭﻛـــﺔ ﺍﻟﻌـــﻳﻥ ﺍﻷﻫﻠﻳــــﺔ ﻟﻠﺗﺄﻣﻳـــﻥ ﺑـــﺄﻥ ﺍﻟﻣﺭﻛﺑـﺔ ﺍﻟﻭﺍﺭﺩﺓ ﺑﻳﺎﻧﺎﺗﻬـﺎ ﻓـﻲ ﻫﺫﺍ ﺍﻟﺟـﺩﻭﻝ ﻣﺅﻣﻧـﺔ ﻟﺩﻳﻬﺎ ﻭﻓﻘـﺎ

ﻷﺣﻛــﺎﻡ ﺍﻟﻭﺛﻳﻘـﺔ ﺍﻟﻣﻭﺣـﺩﺓ ﺍﻟﺻﺎﺩﺭﺓ ﻋﻥ ﻫﻳﺋـﺔ ﺍﻟﺗﺄﻣﻳـﻥ‬


We declare that the Vehicle detailed below in this Schedule is insured with it according to the provisions of unified insurance policy of the IA

Schedule ‫ﺍﻟﺟﺩﻭﻝ‬

Policy No : P/2024/T10/1011052110 : ‫ﺭﻗﻡ ﻭﺛﻳﻘﺔ ﺍﻟﺗﺄﻣﻳﻥ‬

Policy Type : Third Party Liability ‫ﺿﺩ ﺍﻟﻣﺳﺅﻭﻟﻳﺔ ﺍﻟﻣﺩﻧﻳﺔ‬ : ‫ ﻧﻭﻉ ﺍﻟﺗﺄﻣﻳﻥ‬/ ‫ﺍﻟﺗﻐﻁﻳﺔ‬
Insurance Name : YAHYA ISSA ABDALLAH ABDULRAHMAN MOHAMAD ‫ ﻳﺣﻳﻰ ﻋﻳﺳﻰ ﻋﺑﺩﷲ ﻋﺑﺩﺍﻟﺭﺣﻣﻥ ﻣﺣﻣﺩ‬: ‫ﺇﺳﻡ ﺍﻟﻣﺅﻣﻥ ﻟﻪ‬
Address : : ‫ﺍﻟﻌﻧﻭﺍﻥ‬
Mobile : : ‫ﺍﻟﻬﺎﺗﻑ ﺍﻟﻧﻘﺎﻝ‬
Email : Yahiaessa28@gmail.com : ‫ﺍﻟﺑﺭﻳﺩ ﺍﻻﻟﻛﺗﺭﻭﻧﻲ‬
National ID : 784199726325816 : ‫ﺭﻗﻡ ﺍﻟﻬﻭﻳﺔ‬
TCF No. : 3150000120 : ‫ﺍﻟﺭﻣﺯ ﺍﻟﻣﺭﻭﺭﻱ‬
Start Date : 04/11/2024 12:06:49 PM : ‫ﺑﺩء ﺍﻟﺗﺄﻣﻳﻥ‬
End Date : 03/12/2025 12:03:27 PM : ‫ﺍﻧﺗﻬﺎء ﺍﻟﺗﺄﻣﻳﻥ‬
Mortgage To : : ‫ﺟﻬﺔ ﺍﻟﺭﻫﻥ‬
Plate No. - Category : Dubai ‫ﺩﺑﻲ‬ : ‫ ﺍﻟﻔﺋﺔ‬- ‫ﺭﻗﻡ ﺍﻟﻠﻭﺣﺔ‬
Vehicle Make- Cylinder : VOLKSWAGEN / TOUAREG 6 ‫ﺳﻠﻧﺩﺭ‬ ‫ ﻁﻭﺍﺭﻕ‬/ ‫ ﻓﻭﻟﻛﺱ ﻭﺍﺟﻥ‬: ‫ ﺳﻠﻧﺩﺭ‬- ‫ﻧﻭﻉ ﺍﻟﻣﺭﻛﺑﺔ‬
Body Type : 4WD ‫ﺩﻓﻊ ﺭﺑﺎﻋﻲ‬ : ‫ﺷﻛﻝ ﺍﻟﻬﻳﻛﻝ‬
Registration Type : PRIVATE ‫ﺧﺻﻭﺻﻲ‬ : ‫ﻧﻭﻉ ﺍﻟﺗﺭﺧﻳﺹ‬
Manufacture Year : 2014 : ‫ﺳﻧﺔ ﺍﻟﺻﻧﻊ‬
Manufacture Country : Slovakia : ‫ﺑﻠﺩ ﺻﻧﻊ ﺍﻟﻣﺭﻛﺑﺔ‬
Load Capacity : 1700 : ‫ﺍﻟﺣﻣﻭﻟﺔ ﺃﻭ ﺍﻟﻭﺯﻥ‬
Vehicle Colour : BROWN ‫ﺑﻧﻲ‬ : ‫ﻟﻭﻥ ﺍﻟﻣﺭﻛﺑﺔ‬
Seating Capacity + Driver : 5 : ‫ ﺍﻟﺳﺎﺋﻖ‬+ ‫ﻋﺩﺩ ﺍﻟﺭﻛﺎﺏ‬
Engine No : CGR 031549 : ‫ﺭﻗﻡ ﺍﻟﻣﺣﺭﻙ‬
Chassis No : WVGBC2BP9ED002184 : ‫ﺭﻗﻡ ﺍﻟﺷﺎﺳﻳﻪ‬
Geographical Area : UNITED ARAB EMIRATES ‫ﺍﻹﻣﺎﺭﺍﺕ ﺍﻟﻌﺭﺑﻳﺔ ﺍﻟﻣﺗﺣﺩﺓ‬ : ‫ﺍﻟﺣﺩﻭﺩ ﺍﻟﺟﻐﺭﺍﻓﻳﺔ‬
Additional Cover Includes : : ‫ﺗﻐﻁﻳﺎﺕ ﺇﺿﺎﻓﻳﺔ ﺗﺷﻣﻝ‬

THIRD PARTY LIABILITY ‫ﺍﻟﻣﺳﺅﻭﻟﻳﺔ ﺿﺩ ﺍﻟﻐﻳﺭ‬


ROAD SIDE ASSISTANCE 600575751 600575751 ‫ﺍﻟﻣﺳﺎﻋﺩﺓ ﻋﻠﻰ ﺍﻟﻁﺭﻳﻖ‬
THIRD PARTY BODILY INJURY ‫ﺍﻹﺻﺎﺑﺔ ﺍﻟﺟﺳﺩﻳﺔ ﻟﻠﻐﻳﺭ‬

Doc No.: P/2024/T10/1011052110 Date: 04/11/2024 12:07 : ‫ﺍﻟﺗﺎﺭﻳﺦ‬


Amount : 882.00
‫ﺍﻟﻣﺅﻣﻥ ﻟﻪ ﺃﻭ ﻁﺎﻟﺏ ﺍﻟﺗﺄﻣﻳﻥ‬ ‫ﺷﺭﻛﺔ ﺍﻟﻌﻳﻥ ﺍﻷﻫﻠﻳﺔ ﻟﻠﺗﺄﻣﻳﻥ ﻋﻥ‬
The Insured or On Behalf For /AL AIN AHLIA INSURANCE COMPANY PSC

MOTOR DEPT. ABU DHABI HEAD OFFICE -026119999- ‫ ﺃﺑﻭﻅﺑﻲ ﺩﺍﺋﺭﺓ ﺍﻟﺳﻳﺎﺭﺍﺕ‬- ‫ ﺍﻟﻣﺭﻛﺯ ﺍﻟﺭﺋﻳﺳﻲ‬-

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